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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NELLIE IDARA SAMUEL, MSN, APRN,PMHNP-BC

Active

NELLIE IDARA SAMUEL, MSN, APRN,PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in MACON, Georgia. NPI 1821344557 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · MACON, GA

Registration Details

NPI Number
1821344557
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2012 (14.010723480787 yrs)
Last Updated
Dec 28, 2020
Licenses
RN225022 (GA)
RN225022 (GA)
RN225022 (GA)
AP10318 (AZ)
95014791 (CA)

Practice Information

Address
2400 NORTHSIDE XING
MACON, GA, 312102252
Browse GA providers · Browse ZIP 31210
Phone
8657658225

Other Psychiatric/Mental Health Nurse Practitioner Providers in MACON, GA

Name Credential NPI
JENNY LYN ABBOTT YANCEY PMHNP 1457684821
KENYOTTER WHIPPLE 1356755128
SALENA BARNES RN, FNP, PMHNP 1396195301
VANDELER N BOOKER NP-C 1609383967
HAYLEY EDMONSTON PMHNP-BC 1346749926
CASSANDRA SHEA GILLIAM PMHNP-BC 1639652829
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.